Varicose Veins

Dr Anuya Deshpande has almost a decade’s experience and has treated hundreds of legs using modern ultrasound-guided treatments, including Endovenous Laser Ablation (EVLA) and Ultrasound Guided Sclerotherapy (UGS).

What are SPIDER VEINS?    |     What are VARICOSE VEINS?

If your legs feel heavy or ache, if you have a recurrent itchy rash, swollen or restless legs you may have varicose veins even if they are not visible.

Most people know what varicose veins look like -- those ropey lumps under the skin, usually on the calves. Many may experience symptoms before they are visible, and if you have any of those symptoms it is worth getting your legs scanned to see if they are a result of faulty leg veins.

veins graphic


Varicose veins before and three months after treatment with endovenous ablation using radiofrequency ablation and a series of ultrasound guided sclerotherapy injections

Varicose and spider vein treatments

A UK-trained medical doctor with over 18 years clinical experience, Dr Deshpande's varicose vein clinics are based at her Cosmetic & Veins Clinic on Tauranga's Tenth Avenue, opposite Promed House.

She also runs a satellite clinic in Papamoa.

In 2018 she introduced a Radio Frequency Ablation (RFA) system for vein treatments, which offers even greater patient comfort in varicose vein treatment than previous laser technology.

What are spider veins?

Spider Veins are small dilated blood vessels, that remind you of your grandparents and give you a fright when you see them on yourself.
They have a red or bluish colour and appear on the surface of the skin; particularly the legs and face but also on the chest.
Spider veins may be visible either as short, unconnected lines each about the size of a large hair, or connected in a scraggly starburst pattern, or like a spider web or a tree with branches.

They are most common on the outside of the thighs and around the knees but can occur anywhere on the legs or face.
Spider veins are treated by microsclerotherapy, an injection technique where ultra fine needles are used to shut down the veins.

What are varicose veins?

Most people know what varicose veins look like -- those ropey lumps under the skin, usually on the calves, but many may experience symptoms before they are visible.
If your legs feel heavy or ache, and if you have a recurrent rash or you may have varicose veins forming even if they are not visible.

As valves stop working properly in leg veins, blood pools to form varicose veins. Because it is not circulating properly, blood then runs low on oxygen and becomes acidic. This can cause symptoms such as pain, throbbing, fatigue, cramps, burning sensations and restless legs.

A strong family history is a common finding in patients with varicose veins. Females are also more likely to be affected than males, due to factors such as fluctuations in hormones during puberty, pregnancy and menopause. Pregnancy in itself causing an increase in volume, and pressure on the leg veins, so varicose veins during pregnancy are common. Other predisposing factors include obesity, immobility, standing occupations, previous deep-venous thrombosis and leg injuries.

If varicose veins become symptomatic or require treatment to prevent or cure varicose eczema or ulcers then a number of treatments are available. A medical consultation and ultrasound is performed to determine the most appropriate method of treatment. Endovenous Ablation (EVA) is the process by which veins are closed shut using either laser energy or heat. Endovenous Laser Ablation (EVLA) involves a small laser fibre inserted painlessly into the vein under local anaesthetic. Laser energy is then delivered into the vein causing it to collapse and seal shut. Radiofrequency Ablation (RFA) uses a catheter inserted into the vein to deliver heat to the inside wall of the veins causing them to shrink down by ablating them. Both these methods are done without general anesthetic and only require injections of local anesthesia around the vein being treated.

Ultrasound-guided sclerotherapy (UGS) involves the use of ultrasound to precisely locate abnormal veins and to inject them with a medicine called a sclerosant which irritates the wall of the vein and causes it to collapse and forces them to close down. A combination of both EVA and UGS is commonly used. Treatment takes approximately one hour per leg, after which medical grade compression stockings are worn for two weeks. Patients can walk immediately after treatment and are encouraged to walk to speed recovery. Patients have a follow-up treatment in the first couple of weeks and at six weeks, then another one a year after treatment to ensure treatment has been effective.

Some medical insurance companies may cover the cost of consultations and treatment for varicose veins.

Your first step to healthier legs is to call for a vein consultation with Dr Deshpande. During this hour consultation she will take a detailed history about your veins and general health. She will then assess your veins using an ultrasound machine and discuss the best treatment options for you.

Your vein treatment

Vein treatments are simple, effective and relatively painless. Patients often tell us they wish they had their veins treated sooner. We make it easy for people to find out their condition and their options. Call to make an appointment for a no-obligation ultrasound assessment of your varicose or spider veins with Dr Anuya Deshpande. This allows us to assess the best form of treatment for your veins if treatment.


Varicose Veins DiagramNormal Venous FlowDiseased Veins